| NPI | 1891981502 |
|---|---|
| Doing Business As | OPTUM |
| Entity Type | Organization |
| Authorized Contact | REBECCA D. SCHAUMBURG Administrative Assistant 310-525-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2021-04-08 |